ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
The nurse is performing a pre-kindergarten physical on a 5 year-old. The last series of vaccines will be administered. What is the preferred site for injection by the nurse?
Correct Answer: C
Rationale: The preferred site for injection in a 5-year-old is the vastus lateralis . This muscle, located on the anterolateral thigh, is well-developed in children, has minimal major nerves or blood vessels, and can accommodate vaccine volumes, per pediatric nursing standards. Vastus intermedius is deeper and less accessible, gluteus maximus risks sciatic nerve injury and is avoided in young children, and dorsogluteal is not recommended due to similar risks and inadequate muscle mass in this age group. C ensures safety and efficacy, aligning with immunization guidelines.
Question 2 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame best describes the victim's statement. Attributing abuse to personal inadequacy reflects internalized guilt, common in domestic violence, per psychological nursing. Fear , helplessness , and rejection may coexist, but C directly matches the expressed belief.
Question 3 of 5
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should
Correct Answer: C
Rationale: Administering prescribed analgesia is the priority in sickle cell crisis pain, per pain management standards. It addresses vaso-occlusive pain swiftly. Placebo is unethical, fluids are adjunctive, and relaxation is insufficient. C ensures relief and trust.
Question 4 of 5
The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?
Correct Answer: C
Rationale: Use patience and a sense of humor' is best for a 30-month-old's negativity. It aligns with toddler autonomy development, per Erikson, avoiding power struggles. Time out escalates, permissiveness lacks guidance, and authority may overwhelm. C fosters positive discipline.
Question 5 of 5
A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?
Correct Answer: D
Rationale: Monitoring serum albumin prevents aspirin toxicity. Aspirin binds albumin; low levels increase free drug, risking toxicity, per pharmacology. Potassium , protein , and lactose don't directly relate. D guides safe dosing in heart disease.